Individual
STACEY MARIE BRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6764 S 75TH AVE, RALSTON, NE 68127-4394
(402) 910-7702
Mailing address
6764 S 75TH AVE, RALSTON, NE 68127-4394
(402) 910-7702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1830
NE
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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